HomeMy WebLinkAbout06-23-15 (2) INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } ss File Number 21-15-00147
Michael Donnelly
Personal Representative(s)of the Estate of Kim Marie Donnelly
deceased,depose(s)and say(s)that the items appearing in the following inventory include all of the personal assets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent,that the valuation placed opposite each
item of said inventory represents its fair value as of the date of the decedent's death,and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory.
I verify that the statements made in this Inven-
tory are true and correct. I understand that false state- Michael Donnel y
ments herein are made subject to the penalties of
18 Pa.C.S.§4904 relating to unsworn falsification to
authorities.
Attorney-- (Name) Mark A. Mateya (Supreme Court I.D.No.) 78931
(Firm) Mateya Law Firm
(Address) 55 W. Church Avenue, Carlisle, PA 17013
(Telephone) 717-241-6500
DATE OF DEATH LAST RESIDENCE 424 Flarground Ave DECEDENT'S SOC.SEC.NO.
05/20/2014 Carlisle, PA 17013
FIGURES MUST BE TOTALED
Personal Property
Cash............................................................................................... 243.E,6'
Personal Property........................................................................ c o 3,000:0 ' rn
Stocks/Listed................................................................................ ; ? r
Stocks/Closely Held.....................................................................
.r
Bonds............................................................................................
MutualFunds................................................................................
-� Z3
Partnerships and Sole Proprietorships.....................................
Mortgages and Notes Receivable...............................................
All Other Property
P Y........................................................................ t (.0 -TJ
Total Personal Property........................................ 3,243.36
Total Real Property................................................ 17,500.00
Total Personal and Real Property........................ 20,743.36
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may,at the election of the personal representative include the value of each
item,but such figures should not be extended into the total of the Inventory.(See 20 Pa.C.S.§3301(b))
Form RW-09 Rev.10-13-2006 A
INVENTORY
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cumberland } SS File Number 21-15-00147
DATE OF DEATH LAST RESIDENCE 424 Fiarground Ave DECEDENT'S SOC.SEC.NO.
05/20/2014 Carlisle, PA 17013
Ca;ab
Cornerstone Federal Credit Union-Savings account No. 3781-01 39.36
Foremost Insurance-Refund for cancelled property insurance due to sale of real estate 84.82
PHEAA -Refund on payment of student loan Account No. 8805726686 119.18
Total Cash 243.36
Personal Property
Tangible Personal Property-2004 Nissan Sentra automobile- Kelley Blue Book 3,000.00
valuation based on fair to good condition(See attached)
Total Personal Property 3,000.00
Real Estate
Real Estate-Located at 424 Fairground Ave,Carlisle,PA PIN#06-20-1798-317;See 17,500.00
Attached Settlement Sheet
Total Real Estate 17,500.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 20,743.36